How to distinguish between excess and deficiency syndrome of liver-qi stagnation

The differentiation between excess syndrome and deficiency syndrome of liver-qi stagnation mainly lies in that excess syndrome is mostly caused by emotional depression, and the main pathological changes are qi stagnation, blood stasis and phlegm stagnation; deficiency syndrome is mostly caused by chronic disease disorder, and the main pathological changes lie in deficiency of yin and blood of liver. The difference between excess syndrome and deficiency syndrome of liver-qi stagnation lies in that excess syndrome is mainly caused by emotional depression, sudden mental stimulation and other pathogenic factors, and its pathological changes are mainly qi stagnation, blood stasis and phlegm knot; deficiency syndrome is mainly caused by chronic disease disorder, or exhaustion of atrioventricular, or chronic blood loss, and its pathological changes mainly lie in deficiency of yin and blood of liver. The main clinical manifestations of patients with excess syndrome of liver-qi stagnation are: emotional depression, irritability, excessive breathing, chest and hypochondrium or abdominal pain, walking uncertainty, or throat foreign body sensation, or neck gall tumor, or hypochondrium mass, breast pain in women, irregular menstruation, dysmenorrhea, thin white tongue coating, string pulse. If qi stagnation and blood stasis, chest and hypochondrium tingling pain, dark purple tongue or ecchymosis; if phlegm stagnation, throat obstruction can be seen if foreign bodies, can not breathe, chest and hypochondrium fullness. Liver qi stagnation syndrome patients clinical manifestations are mainly: Depression, restlessness, chest fullness, flank pain, pain in fixed places, abdominal distension, belching, lack of appetite, irregular stool, thin and greasy fur, stringy pulse. If liver-qi stagnation, heat for a long time, can also be seen upset irritability, dry mouth and bitter, or headache, red eyes, tinnitus; If liver qi stagnation and spleen deficiency, it can be accompanied by fatigue, loss of appetite, abdominal distension and loose stool; if liver and kidney yin deficiency, it can be accompanied by dizziness, tinnitus, soreness of waist and knees, dry mouth and throat, and five upset heat. In short, the difference between excess syndrome and deficiency syndrome of liver qi stagnation is mainly that excess syndrome has qi stagnation, blood stasis, phlegm stagnation and other excess manifestations, while deficiency syndrome has deficiency of liver yin and blood. In the treatment, excess syndrome is mainly to soothe liver qi, activate blood circulation to remove blood stasis, dissipate phlegm and disperse masses; deficiency syndrome is mainly to nourish liver and soften liver, nourish yin and nourish blood.